Dietary Advice for Crohn's Disease

Information on symptoms and appropriate dietary choices for people with Crohn's disease during active or remission stages. Designed for use by adults in consultation with their IBD team.

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  • To ensure nutritional adequacy and provide an overview of potential nutritional support requirements
  • To dispel myths and educate patients on nutritional aspects of Crohn's Disease
  • Target Group will be able to define Crohn's Disease.
  • Target Group will be able to define a stricture.
  • Target Group will be aware of the role of diet in managing Crohn's Disease and the importance of healthy eating and following the guidance provided via the eatwell plate, and apply this to everyday life.
  • Target Group will be aware of specific nutrient deficiencies, risk factors (e.g. steroid use and calcium deficiency) and be able to apply this knowledge to appropriately manage these.
  • Target Group understand their risk of under nutrition and be able to apply guidelines to consume appropriately high energy, high protein foods/drinks (nb risks of high-fat foods).
  • Target Group will be aware of common micronutrient deficiencies and their symptoms.
  • Target Group will be aware of, and able to apply techniques to maximise nutritional adequacy, including:
    - Oral nutritional supplements
    - Methods to improve appetite
    - Food fortification
    - Dietary restrictions including enteral diet
    - Discussing weight with doctor
  • To be aware of foods that may cause adverse effects.
  • Target Group will be aware of the role of pro/pre/synbiotics.
  • Target Group will be aware of the need for and role of allergy testing.
  • Target Group will be aware of how to manage their weight following drug/lifestyle weight gain.
  • Crohn’s disease: management, NICE guideline [NG129] Published: 03 May 2019, https://www.nice.org.uk/guidance/ng129

  • Fernando Gomollón, et al, on behalf of ECCO, 3rd European Evidence-based Consensus on the Diagnosis and Management of Crohn’s Disease 2016: Part 1: Diagnosis and Medical Management, Journal of Crohn's and Colitis, Volume 11, Issue 1, January 2017, Pages 3–25, https://doi.org/10.1093/ecco-jcc/jjw168

  • Inflammatory bowel disease, NICE Quality standard [QS81] Published: 26 February 2015, https://www.nice.org.uk/guidance/qs81

  • Lamb CA, Kennedy NA, Raine T, et al. British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults. Gut 2019; 68:s1-s106. https://gut.bmj.com/content/68/Suppl_3/s1

  • Limketkai BN, et al. Probiotics for induction of remission in Crohn's disease. Cochrane Database of Systematic Reviews 2020, Issue 7. Art. No.: CD006634. DOI: 10.1002/14651858.CD006634.pub3. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006634.pub3/full

  • Limketkai BN, et al. Dietary interventions for induction and maintenance of remission in inflammatory bowel disease. Cochrane Database of Systematic Reviews 2019, Issue 2. Art. No.: CD012839. DOI: 10.1002/14651858.CD012839.pub2. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD012839.pub2/full

  • Lomer M et al. British Dietetic Association consensus guidelines on the nutritional assessment and dietary management of patients with inflammatory bowel disease, Journal of Human Nutrition and Dietetics 2022;1–42

  • Stephan C. Bischoff, et al ESPEN practical guideline: Clinical Nutrition in inflammatory bowel disease Published: January 13, 2020, ESPEN GUIDELINE VOLUME 39, ISSUE 3, P632-653, MARCH 01, 2020 https://doi.org/10.1016/j.clnu.2019.11.002

NDR-UK Ref No: 9305
Publication Format: A5 leaflet
Classification: HP
Pack size: 10
Publication date: 06/12
Last Review: 2023

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